Colleen Crawford Cornelius, PHD | |
740 S Limestone 4th Floor Wing D, Lexington, KY 40536-0001 | |
(859) 323-5643 | |
Not Available |
Full Name | Colleen Crawford Cornelius |
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Gender | Female |
Speciality | Psychologist - Clinical |
Location | 740 S Limestone 4th Floor Wing D, Lexington, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447871363 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103TS0200X | Psychologist - School | 251781 (Kentucky) | Secondary |
103TC0700X | Psychologist - Clinical | 268918 (Kentucky) | Primary |
Entity Name | University Of Kentucky |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770771974 PECOS PAC ID: 3072425289 Enrollment ID: O20031105000072 |
Mailing Address | Practice Location Address |
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Colleen Crawford Cornelius, PHD 402 Queensway Dr, Lexington, KY 40502-1009 Ph: (859) 533-3275 | Colleen Crawford Cornelius, PHD 740 S Limestone 4th Floor Wing D, Lexington, KY 40536-0001 Ph: (859) 323-5643 |
Mark A Etscheidt, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 740 S Limestone, Lexington, KY 40536 Phone: 859-323-5956 | |
Mr. James M Moughan, CPSYAF Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1351 Newtown Pike, Lexington, KY 40511 Phone: 859-253-1686 Fax: 859-254-2743 | |
Mary Beth Morgan, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1000 Monarch St, #250, Lexington, KY 40513 Phone: 859-296-3141 Fax: 859-296-3144 | |
Dr. Stephanie T. Judge, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 2220 Young Dr, Lexington, KY 40505 Phone: 859-277-1008 Fax: 859-277-1083 | |
Steven Joseph Mangine, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 261 Regency Cir, Suite 3, Lexington, KY 40503 Phone: 859-277-2844 | |
Amanda L Crabtree, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1351 Newtown Pike, Lexington, KY 40511 Phone: 859-253-1686 | |
Mrs. Kari Hall Jones, PSY. D. Psychologist Medicare: Medicare Enrolled Practice Location: 1030 Monarch St, Ste 100, Lexington, KY 40513 Phone: 859-296-3141 Fax: 859-554-5200 |